Individual
DR. RUSSELL NOBLETT
Active
Individual
DR. RUSSELL NOBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212716
RAILROAD MEDICARE
VA
05
—
1255386074
—
VA
01
—
140116
ANTHEM
VA
01
—
315994
SOUTHERN HEALTH
VA
01
—
4601654
CIGNA
VA
01
—
7280194
AETNA
VA
Enumeration date
05/23/2006
Last updated
08/19/2021
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